Individual
DR. ROSELYN BROOKS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1400 WALTER REED RD, STE 200, FAYETTEVILLE, NC 28304-4411
(910) 864-9884
(910) 354-1399
Mailing address
2041 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-5147
(336) 777-0303
(336) 777-3448
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30019228
OH
1223P0221X
Pediatric Dentistry
Primary
8365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102838
—
OH
Enumeration date
05/16/2007
Last updated
02/26/2009
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